Developing a Health Care System for Children in Foster Care

Health Promot Pract. 2018 Jul;19(4):621-628. doi: 10.1177/1524839917730045. Epub 2017 Sep 14.


In 2012, the Comprehensive Health Evaluations for Cincinnati's Kids (CHECK) Center was launched at Cincinnati Children's Hospital Medical Center to provide health care for over 1,000 children placed into foster care each year in the Cincinnati community. This consultation model clinical program was developed because children in foster care have been difficult to manage in the traditional health care setting due to unmet health needs, missing medical records, cumbersome state mandates, and transient and impoverished social settings. This case study describes the history and creation of the CHECK Center, demonstrating the development of a successful foster care health delivery system that is inclusive of all community partners, tailored for the needs and resources of the community, and able to adapt and respond to new information and changing systems.

Keywords: Children’s Services; child abuse and neglect; child maltreatment; child welfare; community engagement; foster care; program development.

MeSH terms

  • Child
  • Child Health Services / organization & administration*
  • Child Welfare / statistics & numerical data*
  • Female
  • Foster Home Care / organization & administration*
  • Health Services Needs and Demand / organization & administration*
  • Humans
  • Male
  • Ohio
  • Organizational Case Studies
  • Outcome Assessment, Health Care
  • Socioeconomic Factors